HomeMy WebLinkAboutFIRE ALARM TEST REPORT - 16-00266 - 1360 S 12 W - Motel 6MR!
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8C1O-866-3640
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FIRE ALARM SYSTEM
TEST REPORT
CUSTOMER
r
PHONE
DATE
ADDRESS
CITYTYPE
STATE
21p
O
MONTHL�Y EST: ❑
SEMIANNUAL ❑
ANNUAL ❑
QUARTERLY ❑ 1
ACCEPTANCE ❑'.
NAME OF MONTORING COMPANY: ..
ACCOUNT#
BATTERY
VOLTAGE
FACP
FCPSI
FCPS2
FCPS3
FCPS4
VOLTAGE
AMP
HOUR
'J��
•�
'
DATE ON
BATTERY
ITEM
YES
NO
N/A
ITEM
YES
NO
NIA
ITEM
YES
NO
N/A
TROUBLE SIGNAL AC
POWER OFF
e(
❑
❑
CIRCUITSCHECKED FOR N
❑
❑
❑
CENTRAL STATION OR
REMOTE CONNECTION
❑
❑
❑
SYSTEM OPERATES ON
STANDBYPOWER
❑
❑
CONTROL PANEL CHECKED
PER NFPA d MFGS INST
❑
❑
❑
KEY TO PANEL
AVAILABLE
❑
❑
❑
SIGNALS OPERATE ON AC
POWER
-❑
❑
❑
AUXILIARY EQIP. OPERATES
(ELEV/FANS /DAMPERS)
❑
❑
❑
COMMUNICATION VERIFIED
❑
❑
❑
PANEL MFG.
MODEL
NO INIAT. ZONES/SLC:
NO SIGNAL ZONES:
TYPE OF
EQUIPMENT
NO, OF UNITS
SATISFACTORY
TYPE OF
EQUIPMENT
NO. OF UNITS
SATISFACTORY
IN Bu)G7
TESTED
YES
NO
N/A
IN BLDG
TESTED
YES
NO
NIA
HORNS, CHIMES, VOICE
ALARM,
SPEAKERS
_
❑
❑
❑
SMOKE DETECTORS
❑;,.
❑
❑
BREAKER PANEL;
MANUAL PULL STATIONS
BREAKER MARKED IN RED
❑
❑
❑
VENTILATION CON.
TROLS OPERATE
❑
❑
❑`
TROUBLE INDICATORS
❑
❑
❑
DUCT DETECTORS
❑
❑
�._
HEATDETECTORS
l'
❑.
❑
❑
ANNUNCIATORS
❑
❑
❑+.,.
WATER FLOW SNATCHES
i
ELEVATOR RECALL
AUTO FIRE SPRINKLER
SUPERVISORY
SWITCHES
d'l
❑
❑
AUTO DOOR RELEASE
(FAILSAFE)
❑
❑
11-
PROBLEMS FOUND/ CORRECTIONS MADE:
TESTING AGENT - PRINT NAME: G SIGNATURE:
SIGNATURE OF CUSTOMER / FIRE MARSHALL:
DATE